For measuring weight in patients in long-term care facilities:
A. Always use same scale
B. Record the patient's clothing
C. Calculate the body mass index (BMI)
D. All the above
ANS: D
Obtain an accurate weight, and make sure the scale is calibrated. For residents of long-term care facilities, always use the same scale for the same patient and, if there is a change in scale, make sure to note that beside the weight. Document what the patient is wearing, and always weigh in that same state. Significant weight loss is a quality indicator measure, and a pattern of weight loss in any facility will trigger an investigation by state and federal regulatory agencies. Ask the patient's usual body weight if possible. Calculate ideal body weight using the same formula as for any other population. Once you have obtained an accurate height and weight, calculate the body mass index (BMI).
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